Provider Demographics
NPI:1922887421
Name:BARBER, ALEXANDRA SERESUN (APRN, NP)
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:SERESUN
Last Name:BARBER
Suffix:
Gender:F
Credentials:APRN, NP
Other - Prefix:
Other - First Name:ALEXANDRA
Other - Middle Name:LYNN
Other - Last Name:SERESUN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:25211 GROGANS MILL RD STE 330
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-2177
Mailing Address - Country:US
Mailing Address - Phone:928-202-1489
Mailing Address - Fax:
Practice Address - Street 1:25211 GROGANS MILL RD STE 330
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-2177
Practice Address - Country:US
Practice Address - Phone:832-539-7625
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-25
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1130393363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily